Based on clinical record review, staff interviews, and policy review, the facility failed to ensure that the discharge Minimum Data Set (MDS) assessment was completed and accurate for 1 of 21 sampled residents (#3). The deficient practice could result in incomplete and inaccurate medical records for residents.Findings include:Resident #3 was admitted to the facility on [DATE], with diagnoses that included displaced fracture of the base of the neck of the left femur, muscle weakness, displaced simple supracondylar fracture, hypertension, hyperlipidemia, obstructive and reflux uropathy, cognitive communication deficit, polyneuropathy, and muscle weakness.An admission MDS dated [DATE], revealed that a Brief Interview for Mental Status (BIMS) was conducted with a score of 7, which indicated… …
F641 citations in Arizona
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F641 less often than its own record predicts
0.55 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F641 findings written in Arizona, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to accurately assess one (1) of 19 sampled residents (Resident [R]16) reviewed for Minimum Data Set (MDS) Assessments. Specifically, the facility failed to code insulin accurately for R16. The deficient practice could result in care plans without resident specific care needs addressed. Findings include: Review of the Admission Record located under the Profile tab in the Electronic Medical Record (EMR) revealed that R16 was admitted on [DATE] with diagnoses that included type 2 diabetes mellitus with hyperglycemia, diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy, and metabolic encephalopathy. …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.87% | 0.51× |
| 2024 | 0.92% | 0.55× |
| 2025 | 1.02% | 0.55× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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